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Round up: A look at inpatient psychiatry
in New England
CONNECTICUT
(May 2005 Issue)

The Department of Mental Health and Addiction Services (DMHAS) reports that state-operated bed capacity has stayed consistent throughout the past year. The only real change, according to senior policy advisor James Siemianowski, LICSW, has been the conversion of 16 beds from respite to acute psychiatric inpatient beds at Capitol Region Community Mental Health Center in Hartford.

"This has provided us with an additional 16 beds within the state-operated system," he says.

In addition, the state has contracted with several community hospitals throughout Connecticut for 25 psychiatric beds to service both acute and intermediate care needs. The goal, Siemianowski explains, is to increase the number of beds available in the state's larger urban areas.

For the most part, DMHAS has not directed its energies to increasing inpatient capacity, which it feels is meeting current needs. Instead, the department is working toward enhancing community-based programs and services to develop its "recovery-oriented" system of care.

"Our focus is really on the community and on trying to take a more holistic approach to people," says Siemianowski. "We are looking at ways to more fully support these people with housing, links to faith communities, social and employment opportunities. We are tying to more fully integrate people into the life of the community."

Toward that end, DMHAS continues to work on several initiatives including a new one called "Access to Recovery." Funded by the federal Center for Substance Abuse Treatment, the program has a total of $22.5 million to be used over the course of a three-year period to improve access to the state's substance abuse programs.

Other programs include the "Lessons Learned" initiative, to share knowledge gleaned from the various treatment programs across the state; "Health Disparities" initiative, a "Cultural Competency" initiative, a "Trauma" initiative; a "Faith" initiative; a "HIPAA" initiative and more. The department's "Recovery" initiative, seen as its overarching theme for all the work they do, is designed to integrate the various recovery-oriented programs that the department has created.

For more information on these initiatives and the department's specific plans, visit www.dmhas.state.ct.us.

Catherine Robertson Souter